Individual provider Active NPI

Deeanna Hagan, RMT

  • Massage Therapist
  • Englewood, CO
National Provider Identifier
1831420736
Registry record updated Dec 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
1454 Issued in CO
Practice address
730 W Hampden Ave
Suite 110
Englewood, CO 80110-2120
Phone
(303) 758-6400
Fax
(303) 759-1276
NPI assigned
Jan 18, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 1454 CO Primary

Addresses

Primary practice location

730 W Hampden Ave
Suite 110
Englewood, CO 80110-2120

Mailing address

730 W Hampden Ave
Suite 110
Englewood, CO 80110-2120
Phone (303) 758-6400

Other names 1

  • Deeanna Striblin Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kathy J. Koop, DC, PC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1263772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323302400000",
    "number": "1831420736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 W HAMPDEN AVE",
            "address_2": "SUITE 110",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801102120",
            "telephone_number": "303-758-6400",
            "fax_number": "303-759-1276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 W HAMPDEN AVE",
            "address_2": "SUITE 110",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801102120",
            "telephone_number": "303-758-6400",
            "fax_number": "303-759-1276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGAN",
        "first_name": "DEEANNA",
        "name_prefix": "Mrs.",
        "credential": "RMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-18",
        "last_updated": "2011-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "1454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEEANNA",
            "last_name": "STRIBLIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Englewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.